A Universal Language needs a Universal Framework ...

and so does ...

Integrated Care

Psychotherapy 

Universal Health Coverage

Global Health

Planetary Health ...


individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group - population

Journal of Universal Language	Journal of Universal Language
Journal of Universal Language	Journal of Universal Language

Reflection, Revalidation, RCN Congress and Research

Thinking Out Loud: Journal 'Regulars'

Like many people I looked forward to experiencing RCN Congress again in June. Now of course Congress itself is a casualty of COVID-19.

Last May as already posted, I picked up several nursing journals too. Having time(!) I've read about reflection, I submitted the required reflective accounts to complete my revalidation last month (so good through to March 31 2023) and I've time to reflect now.

Reading some of the papers and browsing through the journals I notice one has "CPD reflective questions" which are specified for full-length article submissions. Here are some examples from one journal issue:

"If a patient presents with red flag signs of impeding airway obstruction, consider the aspects of the 6Cs in nursing and reflect on the care, compassion, and communication required to the patient and family.
Consider the different dimensions of a person-centred climate of a long-term care setting.
Reflect on the nurse's role in the provision of person-centred care in an older adult residential setting.
How could you make the care of patients in your setting more person-centred?
Reflecting on the case study, what do you consider may help nurses in recognising the condition early and minimise the need for investigations?
Reflect on how the time perspective [can] be an indicator of health and quality of life in people with HIV or another patient group.
Consider how the time perspective can be incorporated into the health care of people with HIV.
Think about how nurses can assess the time perspective in people with HIV."

If you understand Hodges' model then you will appreciate how the model can facilitate reflection on all of the above.

The contents page of many publications usually differentiate between 'features', or 'special focus' and pages listed as 'regulars'.

For quite a while I've not only worked on papers (two advanced drafts at present) but (quietly) wondered about those 'regular' pages and what would it take for journals to adopt Hodges' model as a common resource?

Of course, this begs questions of legitimacy, evidence-base, standards ... and as I have acknowledged Hodges' model is no panacea for a practitioner's or a health system's limitations. Hodges' model itself may constrain the adopted perspectives of readers; as opposed to as I believe, liberating them? If all the posts here were analysed, what is the holistic bandwidth of the content?* If Hodges' model was adopted what trends, if any, would be revealed? If students used Hodges' model to reflect on their own well-being in year 1 - year 3 what would they learn? Are there wells of reflection about which reader's reflections would congregate? Would this in turn be influenced by other recognised biases in publishing and the way the above questions are selected?

It would still be amazing to see Hodges' model as a regular and universal prompt. Even as a research project - the aide-mémoire it is intended to be. The journal would then actively engage with its readership and provide invaluable CPD.

My new folder is already open for the next three years ...

Be Well :: Be Safe All

*I admit that there are topics I have avoided posting, as they are potentially fraught 'politically' or in other respects.

British J. of Nursing, 28,9. 2019 (9 May, Congress Bumper Issue!).

Drupal - update: users, roles, content and permissions

I just thought I'd provide an update on the new site.

There's still nothing new on the hosting account. I managed to update on localhost from 8.5.0 to 8.5.3. As I went to the Manchester Drupal Sprint two weekends ago I had a couple of errors. Webform was proving awkward but that was probably me the way I tried to remove it in order to update. It appears there have been some problems, but switching on "Logging and errors" I had more errors that weekend and working through with advice and support at the Sprint things resolved!

Poking around has been really useful and thus far I've not had to start from scratch. Webform is updated but I realised previously I have only scratched the module's surface. Then there is Paragraphs! This is the challenge with Drupal and the range of modules available as explained at DrupalCon Nashville. I know, I know, I've picked up pen and paper and am fleshing out users, roles, content and permissions. This is a distraction. There has always been help available - that's the Drupal community. I've someone to chat with now and looking forward to updating Richard and help to get the new site live. Richard was at Szeged my first Drupalcon in 2008. I remember the advice of Chris, Dan and James back then and Phil, Nathan and others since: Just do it!

So I can't keep scribbling on paper - or here...

A new Paradigm? No just Paragraphs...

While I have not had the practical reason to apply it (to my shame) I have known of 'maintenance mode' for donkey's y-ears. I have been listening. As tweeted earlier this week, I've been trying to remove Webform so I can update / replace it. I'm avoiding core 'experimental' modules in an attempt to avoid future problems. I'd managed to remove webform bootstrap, but trying to delete from the usual Drupal interface did not work. I checked the tables and those for webform were empty. Impatience set-in and I removed the folder within modules. That was the big mistake. For a time there, I could not access the localhost site on my laptop. I thought it had gone...

I had a MySQL backup and imported this while a CTRL 'Z' restored the folder. This did the trick. I have the HTML source for the archive pages as files too.

At several Drupal events Paragraphs has been presented as very useful site building module. With four 'basic pages' whatever follows will benefit from and no-doubt demand more thought about content types. Checking out some videos Paragraphs really does seem to fit the bill when allied with field group.

I'm looking forward to the local Drupal meetup in Manchester this Tuesday.

Drupalcamp London: And all that jazz

Drupalcamp London was a bootcamp literally in light of the weather. This affected the schedule a bit but it was well worth attending.

The first session on my list was not the intended module development but:

Flexible content editing with paragraphs and Drupal 8 - with Baddý Sonja Breidert who stepped in at short notice. We were encouraged to look at Open Doors as an example of Paragraphs being deployed. The fact that there were 25 types of paragraphs prompts the thought - not so much how many would I would need but the users? Apparently, paragraphs are not that user friendly to edit. Navigation was indicated 'Manage Display' - 'Preview' - 'Paragraph'. The 'environment indicator' flagged whether the site in use was live or dev: a reminder. A future tip included not using entities, but media for anything reusable. Reusable paragraphs were applied to banner and images, using simple entities. There were some special functions (and specific modules) in the table of contents, entity embed, entity browser, insert view and add map.

In considering when to use paragraphs this connects with choosing content types - another key question for me. There was a lot more in what was a 'changed session'. I'll check the slides / videos were available and for those below. The three keynotes were excellent too:

Let’s take the best route - Exploring Drupal 8 Routing System

Drupal in the era of microservices

"Hi user, I am Drupal. How can I help you?"

Accelerating Drupal projects with Thunder: a case study

In 'Make your site findable' dutchyoda Dick Rensema pulled me up short. So, I will check out the metatags module and use this from the outset. As for being findable - it's also best to have separate text and images not have both within a WYSIWYG editor. Another point is to 'make it long'. That sits well for the archive pages for Hodges' model.

Lunchtime on Sunday was preceded with gambry on Plugin API, a key idea being:

ENTITY - Same model different data
PLUGIN - Same "thing" type different ways

This was a captivating, dense, rich session and one to revisit.

Finally, the 0930 start in London helped as I'd been up late. Ronnie Scott's is an amazing experience, the second house from 1030 doors open through to 0300: I left at 3 thanks also to Resolution 88.

Gagné nine events in E-learning

In checking through more books, I revisited Khan and Ally's International Handbook of E-Learning. Chapter 10 by Florence Martin includes several models for instructional design. My in-situ pencil notes from 2015 reminded me of Figure 10.1 "Adaptation of Gagné's nine events" (Gagné and Driscoll, 1988).

I found a version on Pinterest:

Gagné's nine events

Martin and others refer to "Present Stimulus" as "Present the Content" and this is what stands out. If Hodges' model was realised within an online reflective workbench then the student would be engaged in creating the content. The student becomes the stimulus, generating the content.

Pinterest provides another version which sums up quite nicely the potential of Hodges' model. It was brainstorming and developments in mind-mapping that prompted my interest. Structure can gain attention. Structure might also invite interaction. Hodges' model presents a space in which the contents might be manipulated? The initial blank space might also indicate an objective. A series of care or knowledge domains may also invite reflection on a practical experience, a patient or carer encounter.

Gagné's nine events

What follows from Present the content in Gagné's nine events remains a challenge, but if you understand what Hodges' model is and its application then you may also see its potential.


Martin, F. (2015) E-learning Design-From Instructional Events to Elements, Chapter 10. In Badrul H. Khan, & Mohamed Ally (Eds) International Handbook of E-Learning. Volume 1, Oxford: Routledge. pp. 153-170.

With regards to putting a pile of books together for a trip to Hay-on-Wye these handbooks Vols 1 & 2 are keepers.

Reading: Design of a Community-Engaged Health Informatics Platform with an Architecture of Participation

Abstract

Community-engaged health informatics (CEHI) applies information technology and participatory approaches to improve the health of communities. Our objective was to translate the concept of CEHI into a usable and replicable informatics platform that will facilitate community-engaged practice and research. The setting is a diverse urban neighborhood in New York City. The methods included community asset mapping, stakeholder interviews, logic modeling, analysis of affordances in open-source tools, elicitation of use cases and requirements, and a survey of early adopters. Based on synthesis of data collected, GetHealthyHeigths.org (GHH) was developed using opensource LAMP stack and Drupal content management software. Drupal’s organic groups module was used for novel participatory functionality, along with detailed user roles and permissions. Future work includes evaluation of GHH and its impact on agency and service networks. We plan to expand GHH with additional functionality to further support CEHI by combining informatics solutions with community engagement to improve health.

Get Healthy Heights (misspelt above)

Millery, M., Ramos, W., Lien, C., Aguirre, A. N., & Kukafka, R. (2015). Design of a Community-Engaged Health Informatics Platform with an Architecture of Participation. AMIA Annual Symposium Proceedings, 2015, 905–914.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4765661/

Thanks to Michael Gurstein - ciresearchers AT vancouvercommunity.net

H5P February release note (Drupal, TEL)

Here is an update on what H5P can offer. My interest lies in the Drupal module and this update includes news of:

experience API (from the Tin Can project)

Now you may store more and more data about what your user is doing with the H5Ps you create. How many attempts did she use? What scores did she get? How much time did she spend? All of this is available now, and more statements will be added - when did she stop the video? What did she answer when? What slides has she seen?

H5P triggers javascript events every time a xAPI statement is generated. ...

You may also use the xAPI to adapt to what the user does in the H5P. For instance you may display more content on a completed event with full score. H5P uses xAPI internally for the adaptivity, in the question set and in the presentation content types.

H5P February 2015 release note

Additional link:
IMS: Formative Assessments Gone Digital, by Ken Zimmerman
http://info.iu13.org/ims/formative_assessments_gone_digital

simplicity - complexity and Content Types

Without activating any content related modules Drupal 8 beta 4 is pretty stark. That's not a criticism. There are just two content types listed: article and basic page as per the screen dump below. The fact is Drupal is providing an easel and that's exactly what you need even before we get to the palette and canvas. As for other content types, there is a Book, Comment and Forum in core as additional options a checkbox away. There are many other contributed content types that could be added depending on your purpose.

Drupal 8 add content: Article and Basic Page

That's the challenge; using existing resources, stretching them as far as possible. In a book like Drupal for Education and E-Learning you can see even without dedicated learning resources, even with generic content types it is possible to create complex learning environments. Add this to experience of  distance learning - e-learning in the raw - that includes library access, databases, reading, discussion, peer review ... (and for our cohort another residential) and there's plenty to learn from.

In reality content is brittle, usually you can't just stretch it. Imagination and control in the form of flow and rules can work wonders. What is glued together - can be broken apart. It's educational chemistry: learning.

Reuse when possible. Be, active-reactive: responsive.

Is this a desktop I see before me, or is it a smartphone? 

So the screen image above is quite an invitation. I'm sure I've posted about his before: what else should be listed?

From: Slow is beautiful (Bloomstein, net, July 2014)

The quotes below are from a one page article in the July issue of net magazine. The message is that while efficiency in online experiences is critical especially in ecommerce and business there is still a place for 'slow' and content that asks questions (I hope so):

"Second thoughts undermine efficient ecommerce experiences. But if we only value efficiency, we ignore opportunities for learning and validation that characterise effective, less transactional experiences.

... (How several brands - "Foster Good Decisions")

DESIGN FOR QUESTIONS

These content types and design patterns aren't necessarily the fastest way for users to complete transactions. Instead, they help users engage with purchases with greater confidence, satisfaction and certainty. When content pushes us to weigh options and wrestle with difficult concepts, it pushes us to ask questions - and place greater weight on their answers."

It does not take a giant leap of imagination to consider this in health and social care contexts?

Margot Bloomstein, .net, July 2014, Issue 255, p. 42.

Drupal in Education: Richer experiences with Drupal 7 and H5P (HTML5 Package)!

The H5P module is finally available for Drupal 7! Now you can download H5P and H5P content types empowering you to create great rich experiences for your users to enjoy. Content like interactive videos, presentations, drag and drop, fill in the blanks questions and more are available from h5p.org.

We have received many enthusiastic requests for an H5P D7 module and we are proud to present the newly released version. You can find it available on the H5P project page.

You create the content with your web-browser and the content will work just as great on smartphones and tablets, as on you desktop computer.

Below is a summary of the H5P content types that are currently available for Drupal 7 (and all other platforms we support).

Interactive video
Perhaps the most powerful tool in the H5P toolbox. Upload videos and animations, and make them interactive by adding quizzes, images and text along the way.

Presentation
Create a presentation slideshow with interactions along the way. Add text, images, video and various quiz tasks to your presentation.

Boardgame
A level based board game where the user must complete tasks in various levels to win. Depending on whether the user completes or fails, a video is shown at the end of each level. The game is fully customizable.

Flashcards
An image is displayed and the user has to insert a corresponding text by using the keyboard. The card turns to display the solution. Several cards can be added in a sequence.

Fill in the blanks
Create sentences and leave out words, adjectives, conjugations etc. for the user to complete by typing the missing text on the keyboard.

Question set
Your staple quiz question tool. Add a mix of multiple choice questions, fill in the blanks & drag and drop tasks.

Contact button
A simple widget that allows users of your website to get in touch with you using their preferred channel, such as email, Facebook or Twitter.

For those that are new to H5P, H5P is short for HTML5 Package, and is a simple way to create and share rich and interactive web content. H5P is modular and consists of several content types and applications, perfect for use in e-learning and advertising.

See all the content types in action on H5P.org

With H5P you can:

• Export and import content types and applications between sites, e.g. from a Joomla site to a Drupal site.
• Use existing content types and applications, and build on these to create your own content.
• Create and edit rich web content directly in your browser. No technical skills are needed.
• As a developer, build upon existing content types and applications, or create you own from scratch. Share your work with the rest of the world on the h5p.org!

Source: https://groups.drupal.org/node/409763

Looking forward this next weekend and London for DrupalCamp.

Drupal musings 6: Content types - Reflection!

Does anyone have any experience in using established models of reflection in:

• education (nursing, public health, information technology)
• practice
• therapy
• supervision
• carer support
• eHealth
• ... ?

If so please get in touch [h2cmng at yahoo.co.uk].

In its initial downloaded state Drupal has two content types:

1. story
2. and page.

The option then is to use these which would be rather limiting. Add to these two by enabling other core modules. Drupal administrators can extend the core functionality by adding other modules which provide new content types.

You can also roll your own. A key content type for the new site is one that uses the health career model to facilitate - reflection - one of the original purposes for the model.

This also provides an opportunity to adopt a model of reflection that is itself supported by research. This may be Gibbs:

• Stage 1: Description of the event
• Stage 2: Feelings and Thoughts (Self awareness)
• Stage 3: Evaluation
• Stage 4: Analysis
• Stage 5: Conclusion (Synthesis)
• Stage 6: Action Plan

John's Model of Structured Reflection

• Aesthetics – the art of what we do, our own experiences
• Personal – self awareness
• Ethics – moral knowledge
• Empirics – scientific
• with its Cue Questions

Smyth’s Framework for Reflection on Action

• Activity
• Inform (Analysis)
• Confront (Self awareness)
• Reconstruct (Evaluation and Synthesis)

There are many others. ...

Once the hedgehog-headlights glare has passed, this is going to be a really interesting project. There must be a way to link one (or more) of the above with each of h2cm's care (knowledge) domains. There must be a way to create a first version that can be extended and support other content types. The possibilities are really exciting - hence the glare (reflected of course!).

Drupal, Hodges model, content types and metadata

I'd like to think I am rather more than a cell, which has me wondering why I seem to be relying on osmosis as a way to learn how to put a new site together. In searching for the starting line - never mind starting - regulars here know it appears I'm waiting expectantly for a micro-macro biological miracle to happen.

Halfway through Hall's Digitize This Book! I came across another quote and ah! ah! moment...

For in even requesting contributors to identify themselves and their research by title, author, publication, date, subject area, abstract, keywords, and so forth we are not being open to the other but asking them, demanding of them, that they conform to certain preestablished rules, laws, and criteria. p. 101.

The data Hall refers to is of course bread and butter to papercentric publishing. Essential to finding information on paper and in electronic databases. The significance of the quote above? Well Hall goes on to highlight the stated items as (common) metadata (data about data) that his own e-archive CSeARCH (formerly demanded) of its users.

So what should I provide and ask of users on the next website?

There are some default content types in Drupal that could quickly be implemented in a new site. There are modules that allow you to create new content types and there's the rub.... Ideally it would be great to have at least one dedicated content type structured according to Hodges model. Think of it as a h2cm case study on wheels - ready to roll. The problem is having a stab at this. I don't want to constrain users and yet order and structure are essential.

So, in the same way that any site would be in 'beta', that is the way with the content types. Quite straightforward really! Then the users and possibly a community of users (should that come about) will be able to use the first content type and the metadata and data will emerge and evolve from the initial effort - whatever form that takes... .

Drupal tinkering - Salamander's in the sand

I keep thinking of drawing a line in the sand as to when the new Drupal site will go live, but then a curious clucking sound takes over and my arms flap uselessly at my sides. The image below is a screenshot using the Salamander theme for Drupal 6.2. As you can see I have not altered the themes default logo, or the colour scheme; but I'm starting to find my way around the menus at last.

I've started to add other users and as you can see have created a forum with topics and posts. The rail ticket image is neither transparent, nor exactly territorial in disposition. It should be possible to set a default vertical and horizontal spacing for images in the archived content. There is another choice to be made in which drop capitals format to adopt. Having read through jQuery in Action, it is time to revisit the book and really experiment.


Assuming there is a community out there - a series of forums on Hodges' model must be at the heart of the new site, but this begs the question of what tools would a community of Hodges' model users need? Drupal's content types can be extended, but how much effort (if any) should go into such resources? Should they be ready-rolled, or should the community identify the need, specify the requirements and produce the goods? Can an MSWord.doc h2cm template provide a start, or is a more adventurous seed required?

So far several people have used the model for their studies or in specific clinical areas. It makes sense then to try to produce a content type that can be configured by the user for these purposes. It makes even better sense to invite registered users to post their contributions. While I continue to piece the new site together, I must investigate the available Drupal modules and Open-EHR. I had heard of 'Open-air' before in passing and last week at Harrogate learned of it in more detail. I wonder what form and scope the archetypes take? Open-EHR may be far too sophisticated for our purposes, but now is a good time to check.